Healthcare Provider Details
I. General information
NPI: 1669493268
Provider Name (Legal Business Name): DORIAN SINCLAIR STITT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/21/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
932 W ALAMEDA AVE
BURBANK CA
91506-2802
US
IV. Provider business mailing address
15520 ROCKFIELD BLVD STE A200
IRVINE CA
92618-6705
US
V. Phone/Fax
- Phone: 818-766-1128
- Fax: 818-766-1142
- Phone: 949-598-9999
- Fax: 949-598-9990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC29800 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: